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General NPI Number Information
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NPI Number | 1558573519
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Entity Type | Organization
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Legal Business Name | SCOTT AN, DDS,INC.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2625 E FLORENCE AVE SUITE # C
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-4756
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Country | US
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Telephone | 323-277-9191
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Fax | 323-277-3898
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Provider Business Mailing Address
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Address Line | 2625 E FLORENCE AVE SUITE # C
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-4756
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Country | US
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Telephone | 323-277-9191
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Fax | 323-277-3898
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT AN
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Credential | DDS
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Telephone | 323-277-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 48700
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License Number State | CA
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